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General NPI Number Information
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NPI Number | 1437573276
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Entity Type | Organization
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Legal Business Name | WINDSOR AUSTIN HOUSE, LLC
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Dates
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Enumeration Date | 02/14/2014
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Last Update Date | 03/07/2014
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Provider Practice Location Address
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Address Line | 195 S WILLARD ST
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4123
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Country | US
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Telephone | 928-634-4278
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Fax |
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Provider Business Mailing Address
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Address Line | 9200 W SUNSET BLVD 7TH FLOOR
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-3502
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Country | US
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Telephone | 310-860-2270
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Fax |
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Authorized Official
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Title or Position | ADMINSTRATOR
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Name | WENDY GREENBERG
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Credential |
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Telephone | 310-860-2270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | AZ
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